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December 1968


Author Affiliations

Columbus, Tex

Arch Ophthalmol. 1968;80(6):813-814. doi:10.1001/archopht.1968.00980050815028

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To the Editor.  —For several years we have been using iridencleisis modified by cautery with a hot muscle hook on the surface of the sclera about 1½ mm posterior to the wound which creates a fish-mouthing of the wound. We have been quite well satisfied with our results, with our chief problem being flat chambers as a result of the size of the opening. In many of the persistent flat chambers, we have had the problem of anterior and posterior synechia.In two recent cases, I have reformed the anterior chamber by a simple technique which seems to be innocuous. The eye is anesthetized with proparacaine. The eye is then held open with the left hand, and the patient is instructed to look down. Then, with the right hand, a cotton-tip applicator is used to compress the bleb against the filtering wound. In a matter of minutes, the chamber may

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